Abstract
Nocturia is defined as the complaint that the individual has to wake at night one or more times for voiding. Nocturia is one of the lower urinary tract symptoms (LUTS) and it is frequently the first symptom to be complained about when seing a physician.
Nocturia can also be regarded as a clinical syndrome with complex and multifactorial ethiopathogenesis. The most frequent cause of nocturia is nocturnal polyuria (NP).
The prevalence of nocturia is high and it is increasing with the age of patients. Nocturia is associated with a number of serious health conditions, such as fatigue, risk of falling and skeletal fractures, heart failure etc.
Nocturia has also an essential impact on quality of life. Despite high prevalence and enormous clinical significance no specific recommendations for nocturia management have been established.
The aim of this paper is to define recommendations for diagnostic work up and treatment of nocturia in the milieu of the Czech Republic health care system.